Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,095.00 / $5,393.00	Facility		$711.00	$2,095.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.41 / $482.40 / $867.71	Professional		$401.41	$482.40	$867.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,421.67 / $5,171.70 / $11,280.14	Facility		$2,421.67	$5,171.70	$11,280.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $1,909.00 / $2,131.17	Facility		$709.00	$1,909.00	$2,131.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $465.01 / $689.15 / $981.98	Professional		$465.01	$689.15	$981.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $516.83 / $790.75 / $2,008.38	Professional		$516.83	$790.75	$2,008.38
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $566.54 / $603.19 / $671.88	Professional		$566.54	$603.19	$671.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $759.74	Professional		$32.34	$32.34	$759.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,622.00 / $4,800.32	Facility		$1,095.00	$2,622.00	$4,800.32
United Facility/Professional Professional Modifier Low / Median / High Price $428.58 / $582.02 / $1,033.38	Professional		$428.58	$582.02	$1,033.38